.. A010 Rev.112006 FOR CALENDAR YEAR 2005 Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101-111) 1. Person Reporting (last name, first, middle initial) Court or Organization Date or Report Tjoflat, Gerald B 11th Circuit Court of Appeals 0510912006 Title (Article III judges indicate active or senior status; Sa. Report Type (check appropriate type) magistrate judges indicate run- or part-time) D Nomination, Date Article III - Active D Initial Annual Sb. D Amended Report D Final 6. Reporting Period 01/01/2005 to 12/31/2005 7. Chambers or Office Address 8. On the basis or the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance 300 North Hogan Street with applicable laws and regulations. Suite 14-200 Jacksonville, Florida Reviewing Offcer Date IMPORTANT NOTES: The instructions accompanying this form must be followed. Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on last page. POSITIONS. (Reporting individual only; see pp. 9-13 of instructions.) D NONE (No reportable positions.} POSITION NAME OF ORGANIZATION/ENTITY l. Member of the Board and Member of the Executive Committee North Florida Council Boy Scouts of America '"""' (/ (;) -ii 0 : <, = f - r ; :t :,..;:.,.. ii! C> c:> 1 -q C) l" = -< (_JJ f'.) ;:> jn 1- -0... C':) er >',.-., :l. ' m fl. --- c...' -- I I AGREEMENTS. (Reporting individual only; see pp. 14-16 of instructions.) [K NONE (No reportable agreements.) PARTIES AND TERMS
Page 2of6 Tjoflat, Gerald B 0510912006 II NON-INVESTMENT IN CO ME. (Reporting individual and spouse; see pp. 17-24 of instructions.) A. Filer's Non-Investment Income NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) B. Spouse's Non-Investment Income - I/you were married during any portion of the reporting year, complete this section. (Dollar amount not required except/or honoraria.) D NONE (No reportable non-investment income.) SOURCE AND TYPE 2005 Pappas Metcalf Jenks and Miller (Law Firm) IV. REIMBURSEMENTS - transportation, lodging,food, entertainmenl (Includes those to spouse and dependent children. See pp. 25-27 of instructions.) D NONE (No reportable reimbursements.) SOURCE DESCRIPTION University of Mississippi University, MS - March 29-30; Speaker; Transportation, Meals & Lodging Bar Association of the Fifth Circuit New Orleans, LA -April 6-7; Appellate Practice & Advocacy Seminar -Transportation, Meals & Lodging University of Cincinnati Cincinnati, OH -April 7-9; Moot Court; Transportation, Meals & Lodging Stetson University St. Petersburg, FL - May 13-14; Commencement Speaker; Meals & Lodging American Conference Institute New York, NY - September 26-27; Consumer Finance Class Action Seminar; Transportation Meals & Lodging 6. Freedom Forum Nashville, TN - November 14-15; Justice and Journalism Program; Transportation, Meals & Lodging
Page 3of6 Tjoflat, Gerald B V. GIFTS. (Includes those to spouse and dependent children. See pp. 18-31 of instructions.) [K NONE (No reportable gifts.) SOURCE DESCRIPTION V LIABILITIES. (Includes those of spouse and dependent children. See pp. 31-34 of instructions.) [K NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE
Page 4of6 Tjoflat, Gerald B Dateof Report VI INVESTMENTS and TRUSTS - D NONE (No reportable income, assets, or transactions.) income, value, transactions (includes those of the spouse and dependent children. see PP 34-57 of filing instructions) A. B. c. D. Description of Assets Income during Gross value at end of Transactions during reporting period (including trust assets) reporting period reporting period Place 11(X)" after each asset exempt from prior disclosure (1) (2) Amount Type (e.g. Code I div., rent, (I) Value Code 2 (2) (I) If not exempt from disclosure Value Type (e.g. Method buy, sell, (2) (3) (4) (5) Date Value Gain Identity of (A-H) or int.) (J-P) Code 3 (Q-W) merger, redemption) Month - Day Code2 (J-P) Code I (A-H) buyer/seller (if private transaction) Sizzler International, Inc.(Common Sell 12/6 A Stock) Davis New York Venture Fund (Mutual A Dividend K w Fund) Rogers, Towers, Bailey, Jones & Gay A Dividend K T P.A. (401K) Alliance Bernstein Large Cap Growth A Dividend J w Fund (Mutual Fund) Alliance Bernstein Global Technology A Dividend J w (Mutual Fund) 6. Munder Internet Fund (Mutual Fund) A Dividend J w 7. C_olumbia Marsico Focused Equities A Dividend K w Fund (Mutual Fund) 8. Manuflife Financial (40I K) Pappas None M T Metcalf Jenks & Miller 9. 10. 11. 1 1 1 1 16. 17. I. Income Gain Codes: A =$1,000 or less B =$1,001 -$2,500 c =$2,501. $5,000 D=S5,001-$15,000 E =$15,001. $50,000 (See Columns Bl and 04) F =$50,001 -SI00,000 G =$100,001 Sl,000,000 HI =$1,000,001 -$5,000,000 H2 =More thn $5,000,000 Value Codes J =$15,000 or less K =$15,001 -$50,000 L =$50,001 $100,000 M =$100,00 I -$250,000 (See Columns Cl and 03) N =$250,001 -$500,000 0 =$500,001 -$1,000,000 Pl =Sl,000,001-$5,000,000 P2 =$5,000,001 -$25,000,000 Value Method Codes P3 =$25,000,001 -$50,000,000 R ost (Real Estate Only) P4 :=More than S50,000,000 T=Cash Market (See Column C2) Q =Appraisal V=Other S =Assessment U =Book Value W =Estimated
Page 5of6 Tjollat, Gerald B VII ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicate parto/report) The names of the assests listed in Par VII, Lines 4, 5, 6 and 7 were changed during 2005, i.e., Line 4 Alliance Premier Growth Fund is now changed to Alliance Bernstein Large Cap Growth Fund; Line 5 Alliance Technology is now changed to Alliance Bernstein Global Technology Fund; Line 6 Munder Net is now changed to Munder Internet Fund; and Line 7 Nations Marsico Focused is now changed to Columbia Marsico Focused Equities Fund.
Page 6of6 Tjollat, Gerald B IX. CERTIFICATION. I certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure. I further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations. Signature NOTE: ANY IN AND CRIMINAL SANCTIONS (5 U.S.C. app. 104) l!-- Date_ l--"- -=(p FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL I FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544